The client has chest tubes in place after thoracic surgery. What ...

[kamilo84]

The client has chest tubes in place after thoracic surgery. What does the nurse need to know about working with a client who has a chest tube?
 
  a. The tubes should be clamped, except during client assessments.
  b. The tubing should be removed from the connection to check for adequate suction power.
  c. The tubes should be stripped every 15 to 30 minutes to maintain drainage.
  d. Periodic lifting and drainage of coiled loop will promote pleural drainage.

Question 2

When initiating peripheral IV therapy, where does the nurse place the tourniquet in relation to the proposed insertion site?
 
  a. 5 to 10 cm above
  b. 5 to 10 cm below
  c. 10 to 15 cm above
  d. 10 to 15 cm below

[Kjones0604]

Answer to Question 1

D
If the client is in a chair and the tubing is coiled, the tubing should be lifted every 15 minutes to promote drainage. Care should be taken to ensure that the tubing remains secure.
It is inaccurate that the tubes should be clamped except during client assessments. Clamping a chest tube is also contraindicated when the client is ambulating or being transported.
In a water-sealed system, gentle bubbling in the suction-control chamber indicates it is function-ing. The suction source may be checked to verify that it is on the appropriate setting. The tubing should not be disconnected.
Chest tube stripping increases negative intrathoracic pressure that could prolong the client's re-covery time.

Answer to Question 2

C

Feedback
A Placement 5 to 10 cm above the proposed site is incorrect.
B Placement 5 to 10 cm below the proposed site is incorrect.
C The nurse is to position the tourniquet 10 to 15 cm above the proposed insertion site, with the ends directed away from the proposed site.
D Placement 10 to 15 cm below the proposed site is incorrect.

[kamilo84]

Both answers were spot on, thank you once again

[Kjones0604]

Great! Please up vote